부산대학교 도서관

Rationale & objectivePatient awareness of disease is the first step toward effective management and disease control. Awareness of chronic kidney disease (CKD) has consistently been shown to be low, but studies estimating patient awareness of CKD have used different methods. We sought to determine whether the estimated prevalence of CKD awareness differed by the wording used to ascertain awareness or by setting characteristics.Study designSystematic review and meta-analysis.Setting & study populationsAdults with CKD not receiving dialysis.Selection criteria for studiesWe included studies that estimated CKD awareness, determined CKD status by laboratory criteria, and provided the exact question wording used to ascertain awareness.Data extraction2 reviewers independently extracted data for each study; discordance was resolved by a third independent reviewer.Analytical approachMixed-effects models were used to calculate pooled CKD awareness estimates and 95% CIs.Results32 studies were included. Publication year ranged from 2004 to 2017, with study populations ranging from 107 to 28,923 individuals. CKD awareness in individual studies ranged from 0.9% to 94.0%. Pooled CKD awareness was 19.2% (95% CI, 10.0%-33.6%) overall and was 26.5% (95% CI, 11.9%-48.9%) among individuals with an estimated glomerular filtration rate